Colleges' (AAMC) Canadian Graduation Questionnaire (CGQ) data from previous years cannot be made due .... acquired the c
GRADUATION QUESTIONNAIRE
NATIONAL REPORT 2017
GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 2
Table of Contents Introduction .................................................................................................................................................. 4 Selected Findings .......................................................................................................................................... 6 Overall Rating of Medical Education ........................................................................................................... 7 Pre-clinical Education ................................................................................................................................... 8 Clinical Learning Experience ........................................................................................................................ 9 Professionalism .......................................................................................................................................... 18 Clinical Decision-Making and Clinical Care ................................................................................................ 20 General Skills .............................................................................................................................................. 25 Preparedness for Residency ....................................................................................................................... 27 Research ..................................................................................................................................................... 28 School Administration, Student Affairs and Student Services ................................................................. 29 Mistreatment ............................................................................................................................................. 37 Financial Information ................................................................................................................................. 41
Note: The results presented in these data tables are based on the responses of a self-selecting sample from a census of MD students eligible to graduate from a Canadian faculty of medicine as of January 2017. These responses should not be extrapolated to the entire medical student population. Comparisons to the Association of American Medical Colleges’ (AAMC) Canadian Graduation Questionnaire (CGQ) data from previous years cannot be made due to changes in the content of the questionnaire, as well as the method of administration. Percentages may not add to 100 due to rounding. For more information, please refer to the Association of Faculties of Medicine (AFMC) Graduation Questionnaire (GQ) Methodological Notes, available at www.afmc.ca.
GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 3
Introduction The AFMC is proud to present the 2017 AFMC Graduation Questionnaire (AFMC GQ) National Report. The AFMC GQ is the result of the collaborative effort of medical educators, representatives from Canadian faculties of medicine, delegates of the Committee on Accreditation of Canadian Medical Schools (CACMS), students, and residents, supported by AFMC staff. Together, these groups worked closely to create the 2017 questionnaire. Based on feedback received about previous editions of the questionnaire, the 2017 AFMC GQ was significantly shortened; only the questions required
required for faculties to successfully complete the accreditation process were retained. With input from our colleagues at faculties of medicine in Quebec, the French version of the questionnaire was revised to better reflect the medical education context of our Francophone schools. As the AFMC GQ continues to evolve, comparisons to the 2015 and 2016 AFMC GQ results are not always possible. Comparisons to earlier results from the Association of American Medical Colleges’ (AAMC) Canadian Graduation Questionnaire (CGQ) are not made.
Data Collection and Reporting The target population for the 2017 AFMC GQ was the 2,845 students who were registered in active studies and, as of January 2017, eligible for graduation from their MD program at a Canadian faculty of medicine. The 2017 AFMC GQ was available in English and French between February 6, 2017 and May 31, 2017. Eligible students were e-mailed a unique, private link to gain access to the online survey. This customized URL was automatically generated by the online survey platform. Neither the AFMC nor the schools are able to link a student to their URL. In this way, participants were ensured anonymity.
GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 4
A questionnaire was considered completed if a respondent consented to the terms of the questionnaire and submitted the questionnaire. We received 1,919 completed questionnaires, for a response rate of 67.5%. To uphold rigorous standards of participant anonymity and the confidentiality of responses, only aggregate data are reported by AFMC. The AFMC produces a publicly available national report, combining data from all schools. Each faculty is also provided with a report that aggregates responses at the faculty and, if applicable, campus levels. These reports are not publicly disseminated by AFMC. No report is issued if there are fewer than 10 respondents for that reporting level (e.g., if a campus has fewer than 10 respondents). Responses to questions about finances or research experience could, on their own, reveal information about the identity of a respondent. For this reason, no results are reported when fewer than 5 respondents selected a response option for these questions. Individual-level data (microdata) will not be made publicly available by the AFMC.
Interpretation of Results Results obtained are not based on a random sample and respondents were self-selecting. For this reason, extreme caution must be applied when performing comparisons or drawing conclusions based on this non-random sample. The results presented in this report are representative of the students who responded to the 2017 AFMC GQ and should not be used to extrapolate information on the total student population. When appropriate, standard deviations of the results are presented. This statistic is useful to assess the distribution of the answers to a question. The standard deviations in this report are not meant to be used to build confidence intervals or infer statistical significance. For more information on the 2017 AFMC Graduation Questionnaire please send inquiries to
[email protected]. For more detailed methodological notes, please visit www.afmc.ca/data-and-analysis/afmc-graduationquestionnaire.
The results presented in this report are representative of the students who responded to the 2017 AFMC GQ and should not be used to extrapolate information on the total student population.
GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 5
Selected Findings Overall Rating of Medical Education Graduates are leaving MD programs feeling Pre-clinical Education prepared for residency The majority of students finishing their MD Clinical Learning Experience programs feel well prepared to move into residency. 89.3% of respondents agreed or Professionalism strongly agreed that they were confident they had Clinical and aClinical Care acquired the Decision-making clinical skills to begin residency program. Over 95% agreed or strongly agreed that General they have the Skills confidence and knowledge to perform essential clinical skills such as take a Preparedness for Residency patient history, perform a physical exam, develop an appropriate differential diagnosis, and interpret Research laboratory results.
More students are becoming aware of mistreatment policies and reporting procedures In 2017, 94.5% of graduates reported that they were aware that their faculty had policies regarding the mistreatment of medical students, compared to 87.9% in 2015. In addition, the proportion of students who were familiar with procedures about how to report mistreatment has increased from 70.2% in 2015 to 79.2% in 2017.
Percentage of students with no debt increases, but median medical school debt rises The percentage of medical students graduating School Administration, Student Affairs and Student Services Students report on experiences in a with no debt increased slightly from 13.7% in 2016 Longitudinal Integrated Clerkship for the first to 15.0% in 2017; however, for those students with Mistreatment time debt, the median amount of debt increased from Financial Information The 2017 AFMC GQ was the first edition of the $80,000 in 2016 to $94,000 in 2017. Furthermore, questionnaire to include a suite of questions about the percentage of students graduating with debt respondents’ experiences in a Longitudinal exceeding $200,000 slightly increased from 9.9% Integrated Clerkship (LIC). 63.1% of students who in 2016 to 11.6% in 2017. reported on experiences in an LIC assessed their overall experience as very good or excellent. Further, 87.5% of LIC students said that they had access to a sufficient variety of patients and procedures to complete their encounter log, while 87.1% of students reported that they received feedback early enough to allow time to improve performance during their LIC. More students report participating in research projects with faculty The number of students participating in a research project with a faculty member increased from 64.4% in 2016 to 70.0% in 2017. It also appears that opportunities to conduct research may be becoming more readily available; the percentage of students who reported that the opportunity to conduct research was not available to them decreased from 6.7% in 2016 to 4.9% in 2017.
GRADUATION QUESTIONNAIRE – NATIONAL REPORT 2017 — 6
Overall Rating of Medical Education 1
Please rate the quality of your medical education. Response options: Poor; Fair; Good; Very Good; Excellent. For the purposes of analysis, the response options listed above were coded from 1 to 5, respectively. 2015 Count
2015 Percent
2016 Count
2016 Percent
2017 Count
2017 Percent
Poor
6
0.3
9
0.5
17
0.9
Fair
83
3.9
51
2.9
65
3.4
445
20.8
363
20.8
369
19.2
1145
53.4
931
53.4
1006
52.5
465
21.7
388
22.3
460
24.0
Good Very Good Excellent Respondents: 1917 Mean: 3.95 Standard Deviation: 0.80
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 7
Pre-clinical Education 2
The educational activities provided in my MD program in the following areas helped me better prepare for required clinical learning experiences and electives: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; Don't know; N/A. For the purposes of analysis, the response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
Behavioural/Social Sciences
Biochemistry
Biostatistics and epidemiology
Genetics
Gross anatomy
Immunology
Microanatomy/Histology
Microbiology
Nutrition
Pathology
Pathophysiology
Pharmacology
Physiology
Radiology/Imaging
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
1.4
7.0
15.1
52.9
23.7
1807
3.90
0.89
2016
1.8
8.3
19.4
50.9
19.6
1631
3.78
0.92
2017
3.3
15.9
29.3
43.5
8.0
1797
3.37
0.95
2016
3.9
18.8
29.0
41.4
6.9
1636
3.29
0.98
2017
1.6
8.9
16.4
54.2
18.8
1882
3.80
0.90
2016
2.1
11.4
17.7
54.1
14.6
1716
3.68
0.93
2017
1.7
13.0
26.9
50.4
8.0
1855
3.50
0.88
2016
2.7
17.5
28.4
44.8
6.5
1699
3.35
0.93
2017
3.2
8.1
8.6
38.6
41.5
1888
4.07
1.05
2016
2.7
9.8
9.0
38.3
40.2
1717
4.03
1.06
2017
2.0
10.1
15.4
56.6
15.9
1885
3.74
0.91
2016
2.5
11.0
19.0
55.6
11.9
1720
3.63
0.92
2017
4.9
11.5
19.9
47.4
16.2
1872
3.59
1.04
2016
5.7
15.5
22.0
43.5
13.3
1702
3.43
1.08
2017
2.7
11.0
14.5
50.1
21.8
1881
3.77
0.99
2016
2.5
13.2
16.8
51.1
16.3
1716
3.66
0.98
2017
3.9
19.2
23.7
43.2
10.0
1863
3.36
1.02
2016
4.4
17.8
28.5
40.6
8.7
1686
3.31
1.01
2017
2.7
10.5
20.0
51.7
15.2
1871
3.66
0.95
2016
3.7
14.6
24.3
45.0
12.5
1710
3.48
1.01
2017
0.8
2.6
4.4
42.2
50.0
1869
4.38
0.76
2016
0.8
3.2
6.6
46.2
43.2
1706
4.28
0.79
2017
3.5
10.0
12.3
46.3
27.8
1888
3.85
1.05
2016
3.8
12.2
12.4
47.6
24.0
1722
3.76
1.06
2017
0.5
2.9
4.7
46.1
45.7
1877
4.34
0.75
2016
0.8
3.1
5.8
50.0
40.3
1698
4.26
0.77
2017
2.0
12.6
13.4
49.2
22.8
1884
3.78
1.00
2016
3.4
12.5
17.0
46.7
20.4
1714
3.68
1.04
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 8
Clinical Learning Experience 3a
Please rate the quality of your educational experiences in each of the following: Response options: Poor; Fair; Good; Very Good; Excellent; N/A. For the purposes of analysis, "Poor" to "Excellent" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 and 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) .
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Poor
Fair
Good
Very Good
Excellent
Count
Mean
Standard Deviation
2017
1.1
3.5
18.6
35.9
40.8
1862
4.12
0.91
2016
0.9
4.5
18.4
36.7
39.5
1698
4.09
0.91
2015
1.3
3.2
16.0
34.4
45.1
2079
4.19
0.91
2017
1.7
4.8
18.1
34.0
41.4
1891
4.09
0.96
2016
1.7
4.9
18.6
34.7
40.1
1744
4.07
0.96
2015
1.1
3.5
17.3
33.7
44.4
2129
4.17
0.91
2017
2.3
6.4
19.6
35.8
36.0
1897
3.97
1.01
2016
2.5
7.2
20.9
34.0
35.3
1739
3.92
1.04
2015
2.2
6.7
20.6
32.8
37.7
2132
3.97
1.02
2017
4.9
10.1
22.6
34.2
28.1
1892
3.71
1.13
2016
5.9
11.1
26.5
31.0
25.4
1733
3.59
1.15
2015
5.7
11.5
24.7
31.9
26.3
2133
3.62
1.15
2017
4.1
9.5
25.6
35.5
25.3
1887
3.68
1.08
2016
5.7
13.2
28.1
31.5
21.4
1741
3.50
1.13
2015
4.5
12.3
24.9
34.7
23.7
2135
3.61
1.11
2017
2.0
7.8
26.3
36.1
27.8
1881
3.80
1.00
2016
2.9
9.6
26.7
38.1
22.7
1734
3.68
1.02
2015
3.2
8.7
25.0
36.3
26.8
2124
3.75
1.04
2017
3.6
10.3
29.4
33.5
23.1
1886
3.62
1.06
2016
3.5
11.9
29.8
33.8
21.0
1740
3.57
1.06
2015
3.6
9.3
26.9
35.2
25.0
2131
3.69
1.06
2017
5.4
5.9
25.6
27.7
35.4
523
3.82
1.14
2016
x
x
x
x
x
x
x
x
2015
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 9
3b
Please rate the quality of your educational experiences in each of the following: Note:This table presents the overall total for respondents who provided a rating from "Poor" to "Excellent", as well as the totals for those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ.
Rated (Poor to Excellent)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Emergency Medicine
1862
55
2
1919
Family Medicine
1891
25
3
1919
Medicine
1897
20
2
1919
Obstetrics/Gynecology
1892
22
5
1919
Pediatrics
1887
25
7
1919
Psychiatry
1881
33
5
1919
Surgery
1886
29
4
1919
523
1372
24
1919
Longitudinal Integrated Clerkship (LIC)
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 10
4
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I had sufficient access to the variety of patients and procedures required to complete my encounter log. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
0.3
3.8
3.2
45.8
46.9
1850
4.35
0.74
2016
0.6
3.2
4.7
48.2
43.3
1670
4.30
0.75
2017
0.5
3.4
4.1
37.4
54.6
1880
4.42
0.77
2016
0.4
2.7
4.8
41.8
50.3
1713
4.39
0.74
2017
1.0
5.4
4.8
39.0
49.9
1887
4.31
0.87
2016
1.4
3.5
6.1
47.7
41.3
1703
4.24
0.83
2017
2.2
6.8
7.9
43.8
39.4
1880
4.11
0.96
2016
2.0
7.7
8.1
47.6
34.6
1708
4.05
0.95
2017
1.6
8.0
8.2
45.0
37.1
1879
4.08
0.96
2016
2.4
7.6
8.5
49.7
31.7
1709
4.01
0.96
2017
1.0
6.2
6.4
43.3
43.1
1867
4.21
0.89
2016
1.4
5.4
7.1
49.1
37.0
1698
4.15
0.87
2017
1.1
5.5
6.7
50.4
36.2
1876
4.15
0.85
2016
1.2
6.0
6.7
55.0
31.0
1706
4.09
0.85
2017
1.2
3.2
8.1
43.2
44.3
431
4.26
0.83
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 11
5
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I was given appropriate responsibility for patient care. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
0.1
0.5
2.7
43.2
53.6
1856
4.50
0.58
2016
0.1
0.8
2.2
46.5
50.3
1675
4.46
0.60
2017
0.3
1.9
3.9
36.3
57.6
1887
4.49
0.69
2016
0.3
2.0
3.1
41.1
53.4
1716
4.45
0.69
2017
0.8
3.1
5.9
41.0
49.1
1891
4.34
0.80
2016
0.8
2.8
4.6
47.4
44.4
1708
4.32
0.76
2017
2.7
7.3
10.4
46.1
33.5
1884
4.01
0.98
2016
2.0
7.0
9.8
50.2
30.9
1711
4.01
0.93
2017
1.8
5.2
7.0
47.8
38.2
1883
4.15
0.89
2016
1.8
5.8
7.8
50.8
33.8
1714
4.09
0.89
2017
1.2
5.3
7.5
44.0
42.0
1870
4.20
0.88
2016
1.5
4.9
6.9
49.1
37.6
1703
4.16
0.87
2017
1.3
6.8
10.8
50.3
30.8
1881
4.02
0.90
2016
1.6
5.9
8.2
55.2
29.1
1712
4.04
0.87
2017
0.7
2.1
8.6
44.4
44.2
428
4.29
0.77
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 12
6
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. The supervision I received ensured my safety. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
0.1
0.5
2.4
41.2
55.8
1852
4.52
0.59
2016
0.2
0.9
2.0
44.3
52.6
1669
4.48
0.60
2017
0.2
0.5
2.3
35.6
61.5
1884
4.58
0.58
2016
0.2
0.9
2.1
40.4
56.3
1714
4.52
0.61
2017
0.5
2.7
5.0
41.5
50.3
1886
4.38
0.75
2016
0.9
1.1
4.9
49.6
43.5
1708
4.34
0.70
2017
1.0
2.0
5.2
47.7
44.1
1882
4.32
0.75
2016
0.6
1.5
4.7
54.4
38.7
1709
4.29
0.68
2017
0.4
1.1
2.7
47.8
47.9
1877
4.42
0.64
2016
0.6
1.1
3.9
51.7
42.8
1711
4.35
0.66
2017
1.1
2.3
5.2
42.9
48.6
1872
4.36
0.77
2016
0.6
1.6
4.9
50.6
42.3
1701
4.32
0.70
2017
1.0
2.6
5.6
52.2
38.7
1879
4.25
0.75
2016
0.7
2.9
5.3
58.0
33.1
1705
4.20
0.72
2017
0.7
1.9
7.9
45.9
43.6
431
4.30
0.75
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 13
7
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. The supervision I received ensured the safety of the patients for whom I provided care. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
0.1
0.5
2.5
41.0
55.9
1855
4.52
0.58
2016
0.2
1.0
2.6
44.8
51.4
1670
4.46
0.62
2017
0.1
0.5
2.5
35.1
61.7
1887
4.58
0.58
2016
0.5
1.0
2.1
40.8
55.6
1716
4.50
0.64
2017
0.8
4.2
5.6
41.0
48.4
1888
4.32
0.82
2016
0.8
2.6
6.9
46.7
43.0
1706
4.28
0.77
2017
1.0
2.0
5.5
45.8
45.7
1883
4.33
0.76
2016
0.6
1.8
4.6
53.5
39.6
1706
4.30
0.69
2017
0.6
1.3
2.6
44.5
51.0
1879
4.44
0.67
2016
0.6
1.3
3.7
50.3
44.0
1712
4.36
0.68
2017
1.0
1.4
4.1
43.8
49.8
1868
4.40
0.72
2016
0.8
1.1
4.0
50.7
43.4
1705
4.35
0.68
2017
1.1
2.8
6.3
50.2
39.6
1878
4.24
0.78
2016
0.9
3.4
6.0
56.3
33.4
1707
4.18
0.76
2017
0.7
1.6
7.2
45.2
45.2
429
4.33
0.74
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 14
8
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. A faculty member or resident observed me taking a patient history. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
2.7
15.1
7.9
41.3
33.1
1842
3.87
1.11
2016
4.4
16.6
9.2
38.7
31.1
1644
3.75
1.19
2017
1.4
6.3
3.8
37.3
51.2
1880
4.30
0.92
2016
2.2
5.9
4.8
41.1
46.0
1693
4.23
0.95
2017
1.8
10.1
6.3
40.6
41.2
1885
4.09
1.01
2016
3.1
9.0
6.4
42.4
39.0
1691
4.05
1.04
2017
3.3
13.1
8.6
42.4
32.6
1876
3.88
1.10
2016
4.9
13.5
8.2
44.8
28.5
1686
3.79
1.14
2017
1.4
7.6
5.2
46.1
39.8
1874
4.15
0.93
2016
3.0
5.5
4.5
49.9
37.2
1703
4.13
0.94
2017
1.0
2.8
3.2
39.6
53.5
1868
4.42
0.77
2016
1.5
2.5
3.4
46.3
46.3
1696
4.33
0.79
2017
4.1
18.4
11.4
39.8
26.3
1870
3.66
1.17
2016
6.2
17.1
8.6
45.1
23.0
1686
3.62
1.19
2017
0.7
4.0
10.0
44.4
40.9
428
4.21
0.83
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 15
9
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. A faculty member or resident observed me performing a physical examination [mental examination for Psychiatry]. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. In the 2017 AFMC GQ, the wording of the question was changed from “physical examination” to “mental status examination” for Psychiatry; 2016 and 2017 results may not be directly comparable as a result. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
2.3
10.9
5.6
46.7
34.5
1839
4.00
1.02
2016
3.8
13.0
8.0
43.6
31.7
1652
3.86
1.11
2017
1.1
4.5
3.1
39.7
51.6
1879
4.36
0.84
2016
1.6
4.4
4.3
42.4
47.2
1698
4.29
0.87
2017
1.0
5.5
4.1
43.9
45.5
1885
4.27
0.85
2016
2.1
5.1
4.5
45.7
42.6
1701
4.22
0.91
2017
2.4
5.3
4.5
47.6
40.1
1876
4.18
0.92
2016
3.3
7.3
5.5
48.2
35.7
1694
4.06
1.00
2017
1.2
4.6
3.5
49.1
41.7
1875
4.26
0.82
2016
2.1
4.2
4.0
50.6
39.0
1701
4.20
0.87
2017
0.9
3.3
4.0
39.2
52.5
1803
4.39
0.79
2016
2.3
4.5
6.6
44.9
41.6
1325
4.19
0.92
2017
3.8
13.8
9.7
44.4
28.3
1872
3.79
1.11
2016
5.3
13.7
7.5
48.4
25.1
1688
3.74
1.13
2017
0.5
3.5
9.6
44.9
41.6
428
4.24
0.80
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 16
10
Please indicate your level of agreement with each of the following statements related to the clinical learning experiences in this discipline/in the Longitudinal Integrated Clerkship (LIC) at your medical school. I received feedback early enough to allow me time to improve my performance. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree; N/A. For the purposes of analysis, response options from Strongly Disagree to Strongly Agree were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Only the responses of those who rated a given clinical discipline from "Poor" to "Excellent" or who had no response to that question are included in this table. Comparison to 2015 data is not possible for any rotations and comparison to 2016 data is not possible for Longitudinal Integrated Clerkship. Ratings (%) Strongly Disagree
Emergency Medicine
Family Medicine
Medicine
Obstetrics/Gynecology
Pediatrics
Psychiatry
Surgery
Longitudinal Integrated Clerkship (LIC)
Neither agree nor disagree
Disagree
Strongly Agree
Agree
Count
Mean
Standard Deviation
2017
0.8
2.8
6.9
45.2
44.3
1849
4.30
0.78
2016
0.7
3.6
7.4
49.7
38.6
1665
4.22
0.79
2017
1.1
2.7
5.0
42.0
49.2
1880
4.35
0.79
2016
1.1
3.2
5.7
45.1
44.9
1707
4.29
0.80
2017
1.5
5.3
7.3
44.6
41.3
1888
4.19
0.89
2016
1.5
4.6
6.8
50.4
36.7
1702
4.16
0.85
2017
2.6
6.7
11.3
47.7
31.7
1880
3.99
0.96
2016
2.4
7.5
11.0
50.1
29.0
1707
3.96
0.96
2017
1.7
4.1
7.1
49.0
38.1
1877
4.18
0.86
2016
1.8
3.5
6.4
55.1
33.2
1708
4.14
0.82
2017
1.8
3.5
6.3
45.9
42.5
1866
4.24
0.86
2016
1.2
3.6
7.6
51.6
36.1
1690
4.18
0.81
2017
3.0
7.1
14.0
48.7
27.2
1877
3.90
0.98
2016
2.8
7.5
11.7
54.0
24.1
1708
3.89
0.95
2017
1.6
2.5
8.8
44.2
42.9
434
4.24
0.84
2016
x
x
x
x
x
x
x
x
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 17
Professionalism 11
For each of the following beliefs/values and behaviours, indicate your level of agreement that it was emphasized in your medical education program. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
A commitment to advocate at all times the interest of one’s patients over one’s own interests
A commitment to advocate for access to health care for members of traditionally underserved populations
The need to engage in lifelong learning to stay abreast of relevant scientific advances
The threats to medical professionalism posed by conflicts of interest
The compassionate treatment of patients
Respect for the privacy and dignity of patients
The value of honesty and integrity in all professional interactions
The principles that govern ethical decision-making
The major ethical dilemmas that arise in medicine
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.3
1.8
8.8
56.6
32.4
1912
4.19
0.69
2016
0.3
1.6
7.6
59.2
31.3
1729
4.20
0.67
2017
0.4
2.6
9.8
53.2
34.0
1912
4.18
0.74
2016
0.4
2.7
7.7
56.6
32.6
1727
4.18
0.72
2017
0.1
1.3
5.9
49.7
42.9
1907
4.34
0.66
2016
0.3
1.4
4.8
52.3
41.1
1728
4.33
0.66
2017
0.8
5.1
17.2
53.8
23.1
1910
3.93
0.82
2016
0.6
4.5
13.7
58.1
23.1
1727
3.99
0.77
2017
0.3
0.9
5.0
48.7
45.1
1910
4.37
0.65
2016
0.1
1.1
3.5
50.4
44.8
1724
4.39
0.62
2017
0.3
0.9
4.0
48.4
46.4
1911
4.40
0.64
2016
0.1
1.0
3.2
50.3
45.3
1727
4.40
0.62
2017
0.4
2.0
5.3
50.1
42.2
1908
4.32
0.70
2016
0.2
1.5
5.0
53.6
39.7
1727
4.31
0.65
2017
0.4
1.6
6.3
55.1
36.5
1910
4.26
0.68
2016
0.2
1.2
6.1
57.6
34.9
1731
4.26
0.64
2017
0.5
1.6
7.7
56.4
33.7
1910
4.21
0.69
2016
0.2
1.9
7.3
55.9
34.7
1728
4.23
0.68
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 18
Ratings (%) Strongly Disagree
The recognition and acceptance of limitations in one’s own knowledge and skills
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.5
3.0
8.6
54.6
33.2
1913
4.17
0.75
2016
0.6
2.0
8.1
56.4
32.8
1721
4.19
0.72
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 19
Clinical Decision-Making and Clinical Care 12
Please indicate whether you agree or disagree with the following statements. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
I was appropriately trained to care for individuals from diverse backgrounds
Overall my clinical experiences highlighted the need to understand and incorporate diversity and culture in delivering patient care
I feel prepared to provide culturally competent care
I feel prepared to integrate the social determinants of health into an appropriate management plan
I feel appropriately prepared to advocate for my future patients
I feel appropriately prepared to advocate for the communities of my future patients to better meet their health needs
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.8
3.5
9.6
56.9
29.3
1916
4.10
0.77
2016
0.3
3.7
9.8
60.8
25.4
1730
4.07
0.72
2017
0.6
3.7
10.2
54.3
31.3
1915
4.12
0.78
2016
0.6
3.2
9.7
57.0
29.5
1730
4.12
0.75
2017
0.6
6.0
17.2
53.0
23.2
1914
3.92
0.83
2016
0.4
5.9
16.9
54.2
22.6
1731
3.93
0.81
2017
0.2
3.2
8.7
56.1
31.7
1913
4.16
0.72
2016
0.3
2.4
9.4
58.9
29.0
1724
4.14
0.70
2017
0.2
1.8
7.6
54.5
35.9
1911
4.24
0.68
2016
0.1
1.5
5.9
57.7
34.8
1730
4.26
0.64
2017
0.4
3.8
13.5
55.1
27.2
1910
4.05
0.77
2016
0.5
3.6
11.6
57.8
26.5
1725
4.06
0.75
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 20
13
Please indicate whether you agree or disagree with the following statements. When presented with a variety of patients I am confident that I have the knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
Take a patient's history
Perform a physical examination
Develop an appropriate differential diagnosis
Reason clinically
Interpret imaging reports for common health problems
Interpret laboratory results
Develop an appropriate management plan
Care for patients in a hospital setting
Care for patients in an ambulatory setting
Recognize medical errors and their causes
Assess the quality of care
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.1
0.1
0.8
24.2
74.9
1914
4.74
0.47
2016
0.0
0.1
1.0
26.0
72.8
1733
4.72
0.48
2017
0.1
0.3
1.5
35.5
62.6
1910
4.60
0.54
2016
0.1
0.3
1.5
35.5
62.6
1733
4.60
0.55
2017
0.2
0.6
2.8
52.8
43.6
1913
4.39
0.59
2016
0.1
0.5
2.9
52.4
44.1
1735
4.40
0.58
2017
0.1
0.6
2.6
50.3
46.3
1910
4.42
0.59
2016
0.0
0.2
2.2
50.8
46.9
1735
4.44
0.55
2017
0.4
4.5
12.5
56.7
25.9
1914
4.03
0.77
2016
0.9
4.8
11.4
57.6
25.3
1737
4.02
0.80
2017
0.1
0.9
3.7
58.2
37.2
1914
4.32
0.59
2016
0.1
0.6
3.9
58.8
36.6
1735
4.31
0.58
2017
0.2
1.3
7.2
66.2
25.2
1912
4.15
0.61
2016
0.1
1.6
8.0
63.1
27.3
1735
4.16
0.63
2017
0.2
0.9
5.9
57.6
35.5
1913
4.27
0.63
2016
0.0
1.0
5.6
56.8
36.5
1735
4.29
0.61
2017
0.1
0.9
5.1
60.4
33.6
1913
4.26
0.60
2016
0.1
1.6
5.5
60.8
32.0
1734
4.23
0.63
2017
0.3
2.8
16.8
59.3
20.8
1910
3.97
0.72
2016
0.0
2.8
16.0
61.1
20.1
1734
3.99
0.69
2017
0.3
3.9
19.8
55.2
20.8
1907
3.92
0.76
2016
0.3
4.2
17.6
57.7
20.2
1727
3.93
0.75
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 21
14
Evidence-Informed Medicine Please indicate whether you agree or disagree with the following statements. I am confident that I have the knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
Incorporate evidence-informed decision-making into patient care
Access evidence-informed treatment guidelines
15
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.2
1.8
7.8
58.9
31.4
1913
4.19
0.67
2016
0.6
3.6
9.5
64.4
21.8
1731
4.03
0.72
2017
0.2
1.5
5.9
53.7
38.8
1910
4.29
0.66
2016
0.5
1.8
6.6
61.5
29.6
1728
4.18
0.67
Population-Based Medicine Do you believe that your instruction in each of the following areas was inadequate, appropriate, or excessive? Response options: Inadequate; Appropriate; Excessive. Note: Percentages (ratings) add to 100 across rows, not columns. Ratings (%) .
Inadequate
Health promotion and disease prevention
Screening for diseases
Infectious disease prevention
Risk assessment and counselling
Health determinants including social determinants
Appropriate
Excessive
Count
2017
8.7
88.1
3.2
1910
2016
9.0
88.6
2.4
1725
2015
8.3
88.0
3.7
2130
2017
4.1
94.0
1.9
1908
2016
5.3
93.6
1.1
1725
2015
4.5
93.3
2.3
2129
2017
10.1
86.9
3.0
1910
2016
10.0
87.1
3.0
1724
2015
8.3
87.6
4.1
2128
2017
14.9
83.5
1.6
1910
2016
13.7
85.2
1.1
1727
2015
14.7
83.5
1.7
2123
2017
7.0
78.7
14.3
1904
2016
9.4
77.4
13.2
1721
2015
8.3
79.1
12.6
2120
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 22
16
Other Medical Topics Do you believe that your instruction in each of the following areas was inadequate, appropriate, or excessive? Response options: Inadequate; Appropriate; Excessive. Note: Percentages (ratings) add to 100 across rows, not columns. Ratings (%) .
Inadequate
Long-term healthcare
Continuity of care
Pain management
Health policy
Health care systems
Law & medicine
Behavioural sciences
Complementary and alternative medicine
Human sexuality
End-of-life/palliative care
Family/domestic violence
Appropriate
Excessive
Count
2017
26.5
72.5
0.9
1910
2016
22.6
76.6
0.8
1731
2015
20.7
78.3
1.0
2120
2017
12.9
85.8
1.4
1911
2016
12.7
86.4
0.9
1730
2015
10.7
87.9
1.4
2121
2017
27.1
71.5
1.4
1912
2016
28.1
71.2
0.7
1733
2015
27.5
71.1
1.5
2120
2017
34.6
63.0
2.4
1912
2016
36.2
62.2
1.6
1732
2015
35.3
63.4
1.4
2118
2017
27.7
69.4
2.8
1910
2016
30.0
68.0
2.0
1730
2015
31.0
67.7
1.3
2118
2017
30.4
66.7
2.9
1908
2016
29.9
68.8
1.3
1733
2015
32.0
65.9
2.1
2117
2017
19.2
78.8
2.0
1911
2016
20.3
78.7
1.0
1728
2015
17.6
80.6
1.8
2115
2017
32.1
58.5
9.4
1911
2016
31.3
60.9
7.8
1731
2015
30.9
62.5
6.5
2117
2017
23.3
73.5
3.1
1909
2016
24.8
73.0
2.3
1732
2015
23.5
73.9
2.5
2119
2017
17.1
81.3
1.6
1912
2016
19.7
79.4
0.9
1732
2015
19.3
79.1
1.6
2121
2017
23.3
75.1
1.5
1911
2016
24.3
74.9
0.8
1731
2015
24.3
74.9
0.8
2118
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 23
Ratings (%) .
Drug and alcohol abuse
Ethics/Humanism
Inadequate
Appropriate
Excessive
Count
2017
12.9
85.1
2.0
1910
2016
13.3
85.4
1.3
1733
2015
12.8
85.6
1.6
2116
2017
6.7
87.9
5.4
1907
2016
8.0
87.7
4.2
1729
2015
7.5
88.4
4.1
2110
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 24
General Skills 17
Communication Skills Please indicate your level of agreement with the following statements. I am confident that I have the appropriate knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
Communicate effectively with patients and their families
Communicate with other physicians
Communicate with other health professionals
Provide safe-sex counselling to patients
Discuss options with a patient and/or family members who request unnecessary/unwarranted tests or procedures
Discuss the health practices of a patient using alternate therapies
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
0.0
0.1
2.0
37.7
60.1
1911
4.58
0.54
2016
0.0
0.2
1.2
42.3
56.3
1729
4.55
0.53
2017
0.1
0.6
3.2
46.9
49.2
1911
4.45
0.60
2016
0.0
0.3
2.1
51.4
46.2
1729
4.43
0.56
2017
0.1
0.4
2.2
46.7
50.7
1906
4.48
0.57
2016
0.1
0.0
1.9
48.7
49.3
1730
4.47
0.54
2017
0.3
2.4
8.1
53.0
36.3
1913
4.23
0.71
2016
0.1
2.7
7.4
55.5
34.3
1730
4.21
0.69
2017
0.1
2.8
7.9
59.4
29.8
1912
4.16
0.69
2016
0.1
3.3
8.0
60.3
28.3
1725
4.13
0.70
2017
0.5
8.4
17.9
52.3
20.9
1905
3.85
0.86
2016
0.9
7.8
13.6
54.3
23.4
1721
3.92
0.87
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 25
18
Information Technology Skills Please indicate your level of agreement with the following statement. I am confident that I have the appropriate knowledge and skills to: Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%) Strongly Disagree
Use technology to access information at the time of a patient encounter if needed
Disagree
Neither agree nor disagree
Agree
Strongly Agree
Count
Mean
Standard Deviation
2017
4.6
0.9
5.2
47.8
41.5
1911
4.21
0.94
2016
0.2
0.8
2.8
53.1
43.2
1728
4.38
0.60
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 26
Preparedness for Residency 19
I am confident that I have developed the clinical skills required to begin a residency program. Response options: Strongly Disagree; Disagree; Neither agree nor disagree; Agree; Strongly Agree. For the purposes of analysis, the response options were coded from 1 to 5, respectively. Note: Comparison to 2015 data is not possible for this question. 2016 Count
2016 Percent
2017 Count
2017 Percent
Strongly Disagree
24
1.4
23
1.2
Disagree
40
2.3
35
1.8
136
7.9
147
7.7
1047
60.6
1142
59.6
482
27.9
568
29.7
Neither agree nor disagree Agree Strongly Agree Respondents: 1915 Mean: 4.15 Standard Deviation: 0.73
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 27
Research 20
I participated in a research project or other scholarly activity with a faculty member. Response options: Yes; No, I was not interested; No, the opportunity was not available; No, other. Note: Comparison to 2015 data is not possible for this question. 2016 Count
2016 Percent
2017 Count
2017 Percent
1113
64.4
1342
70.0
No, I was not interested
436
25.2
350
18.3
No, the opportunity was not available
116
6.7
93
4.9
63
3.6
131
6.8
Yes
No, other Respondents: 1916
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 28
School Administration, Student Affairs and Student Services 21a
Please indicate your level of satisfaction with the following. Office of the Associate Dean for Educational Programs/Medical Education Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)
Accessibility
Responsiveness to student problems
Includes students on key medical school committees and working groups
21b
Very Dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
2017
2.1
4.7
11.9
48.0
2016
0.8
3.4
11.1
2017
5.0
10.6
2016
3.8
2017
2016
Count
Mean
Standard Deviation
33.4
1724
4.06
0.91
51.5
33.2
1634
4.13
0.80
14.7
41.1
28.7
1763
3.78
1.12
9.0
14.9
41.5
30.9
1662
3.87
1.07
1.7
2.4
12.7
46.7
36.5
1739
4.14
0.85
1.0
2.3
10.7
50.8
35.2
1649
4.17
0.78
Satisfied
Very Satisfied
Please indicate your level of satisfaction with the following. Office of the Associate Dean for Educational Programs/Medical Education Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Accessibility
1724
187
8
1919
Responsiveness to student problems
1763
147
9
1919
Includes students on key medical school committees and working groups
1739
170
10
1919
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 29
22a
Please indicate your level of satisfaction with the following. Office of Student Affairs/Student support services team Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)
Accessibility
Responsiveness to student problems
Includes students on key medical school committees and working groups
Academic advising/counselling
Personal counselling
Financial aid administrative services
Overall educational debt management counselling
Very Dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
2017
1.0
2.5
6.9
43.6
2016
0.7
3.1
7.0
2017
1.7
5.3
2016
1.4
2017
Count
Mean
Standard Deviation
46.1
1788
4.31
0.78
47.7
41.5
1663
4.26
0.78
9.1
41.4
42.5
1782
4.18
0.92
4.5
9.6
45.7
38.8
1659
4.16
0.87
0.8
1.8
10.6
46.6
40.2
1695
4.23
0.77
2016
0.6
1.5
8.7
52.4
36.8
1614
4.23
0.71
2017
3.0
7.3
11.9
41.9
35.8
1691
4.00
1.02
2016
2.2
5.6
10.8
45.4
36.0
1587
4.07
0.94
2017
2.5
5.7
10.9
39.4
41.4
1491
4.11
0.98
2016
2.2
4.8
11.3
43.7
37.9
1322
4.10
0.93
2017
1.8
5.4
16.9
44.5
31.3
1453
3.98
0.93
2016
1.9
5.5
14.8
46.2
31.6
1404
4.00
0.92
2017
2.7
9.6
20.0
41.7
26.1
1461
3.79
1.02
2016
3.0
9.1
19.1
42.9
25.9
1418
3.80
1.02
Satisfied
Very Satisfied
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 30
22b
Please indicate your level of satisfaction with the following. Office of Student Affairs/Student support services team Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Accessibility
1788
124
7
1919
Responsiveness to student problems
1782
129
8
1919
Includes students on key medical school committees and working groups
1695
217
7
1919
Academic advising/counselling
1691
220
8
1919
Personal counselling
1491
417
11
1919
Financial aid administrative services
1453
458
8
1919
Overall educational debt management counselling
1461
449
9
1919
23a
How satisfied are you with programs/activities that promote effective stress management, a balanced lifestyle and overall wellbeing? Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Comparison to 2015 data is not possible for this question. 2016 Count
2016 Percent
2017 Count
2017 Percent
52
3.1
67
3.6
Dissatisfied
155
9.2
191
10.1
Neither satisfied nor dissatisfied
344
20.4
349
18.5
Satisfied
829
49.2
914
48.5
Very Satisfied
306
18.1
363
19.3
Very Dissatisfied
Respondents: 1884 Mean: 3.7 Standard Deviation: 1.01
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 31
23b
How satisfied are you with programs/activities that promote effective stress management, a balanced lifestyle and overall wellbeing? Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ.
Rated (Very Dissatisfied to Very Satisfied) N/A No Response
2017 Count
2017 Percent
1884
98.2
27
1.4
8
0.4
Respondents: 1919
24a
Please indicate your level of satisfaction with the following: Career Planning Services Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)
Career planning services
Information about specialties
Information about the changing workforce environment
Guidance when choosing electives
Very Dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
2017
4.4
14.4
21.0
46.5
2016
3.8
13.0
19.5
2017
3.8
11.0
2016
3.0
2017
Count
Mean
Standard Deviation
13.7
1810
3.51
1.04
49.9
13.7
1617
3.57
1.01
17.4
52.0
15.8
1863
3.65
0.99
10.9
15.6
55.2
15.4
1684
3.69
0.96
5.5
22.3
28.9
34.2
9.2
1833
3.19
1.06
2016
5.2
22.3
25.0
38.2
9.3
1640
3.24
1.06
2017
8.7
22.2
25.7
32.9
10.5
1840
3.14
1.14
2016
7.2
22.9
25.2
35.2
9.5
1669
3.17
1.11
Satisfied
Very Satisfied
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 32
24b
Please indicate your level of satisfaction with the following: Career Planning Services Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Career planning services
1810
102
7
1919
Information about specialties
1863
45
11
1919
Information about the changing workforce environment
1833
79
7
1919
Guidance when choosing electives
1840
69
10
1919
25a
Please indicate your level of satisfaction with the following: Student Health Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)
Student health services
Student mental health services
Awareness of and access to student disability insurance
Education about exposure to and prevention of infectious diseases (e.g., needle stick injury procedures)
Very Dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
2017
1.9
5.2
15.7
54.7
2016
1.8
5.1
12.7
2017
2.9
7.7
2016
2.5
2017
Count
Mean
Standard Deviation
22.5
1668
3.91
0.87
57.6
22.8
1512
3.95
0.85
18.9
47.9
22.6
1427
3.80
0.97
6.0
17.4
53.0
21.1
1288
3.84
0.91
2.6
9.3
20.7
47.9
19.5
1615
3.72
0.97
2016
2.2
6.9
21.9
49.8
19.2
1402
3.77
0.91
2017
1.1
5.3
14.3
57.5
21.8
1838
3.93
0.82
2016
0.8
3.8
13.7
59.3
22.4
1648
3.99
0.77
Satisfied
Very Satisfied
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 33
25b
Please indicate your level of satisfaction with the following: Student Health Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Student health services
1668
242
9
1919
Student mental health services
1427
482
10
1919
Awareness of and access to student disability insurance
1615
294
10
1919
Education about exposure to and prevention of infectious diseases (e.g., needle stick injury procedures)
1838
65
16
1919
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 34
26
I know what to do if I am exposed to an infectious or environmental hazard like a needle stick injury. Response options: Yes; No 2015 Count
2015 Percent
2016 Count
2016 Percent
2017 Count
2017 Percent
Yes
1933
91.5
1584
92.0
1738
91.1
No
179
8.5
137
8.0
170
8.9
Respondents: 1908
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 35
27a
Please indicate your level of satisfaction with the following: Other Student Services Response options: Very Dissatisfied; Dissatisfied; Neither satisfied nor dissatisfied; Satisfied; Very Satisfied, N/A. For the purposes of analysis, "Very Dissatisfied" to "Very Satisfied" were coded from 1 to 5, respectively. Note: Percentages (ratings) add to 100 across rows, not columns. Comparison to 2015 data is not possible for this question. Ratings (%)
Student study space
Student relaxation space
Library
Access to computers
Access to internet
27b
Very Dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
2017
2.1
7.2
7.7
46.0
2016
1.9
7.2
7.6
2017
2.5
10.5
2016
3.2
2017
Count
Mean
Standard Deviation
37.0
1886
4.09
0.96
50.4
32.9
1709
4.05
0.93
13.1
46.3
27.5
1880
3.86
1.02
10.7
12.1
49.4
24.6
1689
3.81
1.02
1.9
6.6
9.7
46.4
35.4
1875
4.07
0.94
2016
1.2
4.6
7.3
54.6
32.4
1706
4.12
0.82
2017
1.3
4.8
9.6
49.4
35.0
1865
4.12
0.86
2016
1.1
3.7
7.6
54.1
33.4
1688
4.15
0.80
2017
0.5
4.1
5.9
46.8
42.7
1906
4.27
0.79
2016
0.8
2.9
5.4
50.6
40.3
1718
4.27
0.76
Satisfied
Very Satisfied
Please indicate your level of satisfaction with the following: Other Student Services Note: This table presents the overall total number of respondents who provided a rating from "Very Dissatisfied" to "Very Satisfied", as well as those who responded "N/A", or did not respond to the question. The total of these three categories adds up to the total number of respondents to the 2017 AFMC GQ. Rated (Very Dissatisfied to Very Satisfied)
N/A
No Response
Total Respondents (2017 AFMC GQ)
Student study space
1886
27
6
1919
Student relaxation space
1880
30
9
1919
Library
1875
36
8
1919
Access to computers
1865
47
7
1919
Access to internet
1906
7
6
1919
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 36
Mistreatment For reporting purposes, the two questions regarding school policies and procedures related to possible mistreatment of medical students are included in this section. Please note that these questions did not appear together with the questions about behaviours experienced during medical school (the results of which form the rest of this chapter). The questions relating to “behaviours experienced” did not use the word “mistreatment” to avoid imparting bias to responses. The questions in this section of the GQ may be particularly sensitive for students and schools. To protect student anonymity, the results of the series of questions asking about the frequency of the behaviours experienced are reported at an aggregate level only. 28
Are you aware that your school has policies regarding the mistreatment of medical students? Response options: Yes; No 2015 Count
2015 Percent
2016 Count
2016 Percent
2017 Count
2017 Percent
Yes
1868
87.9
1601
92.4
1806
94.5
No
257
12.1
131
7.6
106
5.5
Respondents: 1912
29
Do you know the procedure at your school for reporting the mistreatment of medical students? Response options: Yes; No 2015 Count
2015 Percent
2016 Count
2016 Percent
2017 Count
2017 Percent
Yes
1490
70.2
1297
74.9
1515
79.2
No
634
29.8
434
25.1
398
20.8
Respondents: 1913
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 37
30a
For each of the following behaviours, please indicate the frequency you personally experienced that behaviour during medical school. Include in your response any behaviours performed by faculty, nurses, residents/interns, other institution employees or staff, and other students. Please do not include behaviours performed by patients and their families. During medical school, how frequently have you been: Response options: Never; Once; Occasionally (2-4 times); Frequently (5 or more times). For the purposes of analysis, "Never" to "Frequently" were coded from 1 to 4, respectively. Note: The option to report on being "Publicly embarrassed" was removed from the 2017 AFMC GQ. This has resulted in an increase in the reported frequency of being humiliated. Consequently, the results from 2017 for "Publicly humiliated" are not directly comparable to previous years and should not be interpreted as such. Percentages (ratings) add to 100 across rows, not columns. Ratings (%)
.
Never
Occasionally (2-4 times)
Once
Frequently (5 or more times)
Count
Mean
Standard Deviation
Publicly humiliated - not comparable to 2015/2016 data (see note above)
2017
55.9
20.3
21.1
2.7
1911
1.71
0.89
Publicly humiliated - see note above
2016
70.7
14.2
12.8
2.3
1729
1.47
0.80
Publicly humiliated - see note above
2015
71.4
14.6
12.4
1.6
2125
1.44
0.77
Threatened with physical harm
2017
98.1
1.4
0.4
0.1
1912
1.02
0.19
2016
97.4
2.1
0.5
0.0
1730
1.03
0.20
2015
97.6
1.9
0.3
0.2
2125
1.03
0.22
2017
98.4
1.3
0.2
0.1
1913
1.02
0.16
2016
98.6
1.2
0.2
0.1
1727
1.02
0.16
2015
98.3
1.5
0.1
0.1
2124
1.02
0.17
2017
89.3
5.2
5.0
0.5
1911
1.17
0.52
2016
85.7
6.5
6.7
1.2
1725
1.23
0.62
2015
87.5
5.2
6.4
0.8
2122
1.21
0.59
2017
93.7
3.0
3.0
0.3
1913
1.10
0.41
2016
95.2
2.7
1.8
0.3
1726
1.07
0.35
2015
94.0
3.4
2.4
0.2
2127
1.09
0.38
2017
99.8
0.1
0.1
0.0
1913
1.00
0.07
2016
99.9
0.0
0.1
0.0
1727
1.00
0.05
2015
99.5
0.3
0.1
0.1
2124
1.01
0.13
2017
90.1
3.8
4.4
1.8
1913
1.18
0.58
2016
90.9
3.9
4.0
1.2
1729
1.15
0.53
2015
91.1
3.0
4.6
1.4
2124
1.16
0.56
Physically harmed
Required to perform personal services
Subjected to unwanted sexual advances
Asked to exchange sexual favours for grades or other rewards
Denied opportunities for training or rewards based on gender
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 38
Ratings (%)
.
Subjected to offensive sexist remarks/names
Received lower evaluations/grades based on gender
Denied opportunities for training or rewards based on race or ethnicity
Subjected to racially or ethnically offensive remarks/names
Received lower evaluations or grades solely because of race or ethnicity rather than performance
Denied opportunities for training or rewards based on sexual orientation
Subjected to offensive remarks/names related to sexual orientation
Received lower evaluations or grades solely because of sexual orientation rather than performance
Never
Occasionally (2-4 times)
Once
Frequently (5 or more times)
Count
Mean
Standard Deviation
2017
75.2
9.9
11.8
3.1
1911
1.43
0.82
2016
79.7
8.3
9.8
2.2
1730
1.35
0.74
2015
84.0
6.6
7.9
1.6
2125
1.27
0.67
2017
95.7
2.9
1.0
0.5
1911
1.06
0.33
2016
97.2
1.6
1.1
0.2
1724
1.04
0.27
2015
96.6
2.2
1.0
0.2
2122
1.05
0.28
2017
97.3
1.1
1.0
0.6
1912
1.05
0.32
2016
97.5
1.0
1.0
0.5
1727
1.05
0.31
2015
98.1
0.9
0.7
0.3
2122
1.03
0.25
2017
90.5
4.3
3.6
1.6
1913
1.16
0.55
2016
91.5
3.5
4.3
0.8
1729
1.14
0.50
2015
92.4
3.0
3.9
0.7
2120
1.13
0.48
2017
98.2
0.8
0.7
0.2
1911
1.03
0.24
2016
98.7
0.8
0.4
0.1
1730
1.02
0.17
2015
98.6
0.8
0.4
0.3
2121
1.02
0.22
2017
99.4
0.2
0.4
0.1
1914
1.01
0.15
2016
99.6
0.2
0.1
0.1
1730
1.01
0.11
2015
99.1
0.3
0.4
0.2
2120
1.02
0.20
2017
97.8
1.0
0.8
0.3
1913
1.04
0.27
2016
97.2
1.2
1.0
0.5
1725
1.05
0.31
2015
97.7
0.8
0.8
0.7
2120
1.04
0.31
2017
99.5
0.2
0.3
0.1
1913
1.01
0.13
2016
99.7
0.1
0.1
0.1
1725
1.01
0.10
2015
99.4
0.2
0.2
0.2
2122
1.01
0.16
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 39
30b
Percent of respondents who indicated they personally experienced any of the listed behaviours. The data are derived from the response to the question reported in the table above and include all respondents who reported that they had personally experienced, at least "Once," any of the behaviours listed. Those who reported that they "Never" experienced any of the behaviours listed in the table above make up the "No" category in the following table. Note: This table is derived from the question reported in the previous table and did not appear as a question in the 2017 GQ. Comparison to 2015 and 2016 data is not possible for this question. 2017 Count
2017 Percent
Yes
1141
59.6
No
773
40.4
Respondents: 1914
GRADUATION QUESTIONNAIRE - NATIONAL REPORT 2017 — 40
Financial Information 31a
What is the approximate amount of debt (in Canadian dollars) that you have accumulated directly related to your medical studies? Response options: None - I have no debt directly related to my medical studies ($0); The approximate amount is (please specify); I have debt but I prefer not to provide the approximate amount; I have debt but I do not know the approximate amount." Note: Comparison to 2015 data is not possible for this question.
Provided amount Preferred not to provide Did not know None ($0)
2016 Count
2016 Percent
2017 Count
2017 Percent
1280
74.2
1376
72.0
124
7.2
182
9.5
84
4.9
68
3.6
237
13.7
286
15.0
Respondents: 1912
31b
What is the approximate amount of debt (in Canadian dollars) that you have accumulated directly related to your medical studies? Note: This question was only asked of respondents who provided an amount in the previous table. Calculation of measures of central tendency and dispersion include only those who provided an amount and were based on the amount provided, not the categories created for reporting. Comparison to 2015 data is not possible for this question. 2016 Count
2016 Percent
2017 Count
2017 Percent